Health Supervision
Anticipatory
Guidance: Introduction
 Health
education, including anticipatory
guidance, is a required EPSDT component
to be presented and documented at each preventive health
visit.
Learning
what families already know and what they do to promote
health
provides opportunities to personalize the anticipatory guidance,
clear up misconceptions, offer new information, and reinforce
healthy habits.
- Health education, including anticipatory guidance, is a required EPSDT component to be presented and documented at each preventive health visit.
- Broad categories for anticipatory guidance include: sleep positioning (0-6 months), injury prevention, violence prevention, and nutrition counseling.
- See Suggested Age Appropriate Topics for Anticipatory Guidance (PDFs):
0-1 month | 2-4 months | 6-9 months | 12-18 months | 2-5 years | 6-10 years | 11-21 years.
- Document: record that anticipatory guidance was provided and that educational handouts and/or plan was reviewed with patient/parent. Ensure that patient/parent verbalizes understanding.
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The
Value of Anticipatory Guidance
-
Helps
families understand what to expect in their childs
or teen's current and approaching stages of development.
-
Provides
information about healthful lifestyles and habits as
well as injury and illness prevention.
-
Reinforces
the importance of the family in the health partnership.
-
Supports
the development of positive and effective relationships
with families, children, and teens.
-
Can
be supplemented with handouts and family materials.
Effective
-
Healthy
and safe habits
-
Injury
and illness prevention
-
Nutrition
-
Oral
health
-
Mental
health
-
Sexuality
-
Social
competence
-
Substance
use and abuse prevention
-
Responsibility
-
School
or vocational achievements
-
Family
-
Parental
health
-
Community
Suggested health
topics and age-appropriate guidance are available on the Specific
Visits page.
Guidance should
include advice about when to schedule the childs next visit
according to the DC Medicaid HealthCheck
Periodicity Schedule.
Documenting
Health Education and Anticipatory Guidance
- Health education, including anticipatory guidance, is a required EPSDT component to be presented and documented at each preventive health visit.
- Broad categories for anticipatory guidance include: sleep positioning (0-6 months), injury prevention, violence prevention, and nutrition counseling.
- See Suggested Age Appropriate Topics for Anticipatory Guidance (PDFs):
0-1 month | 2-4 months | 6-9 months | 12-18 months | 2-5 years | 6-10 years | 11-21 years.
- Document: record that anticipatory guidance was provided and that educational handouts and/or plan was reviewed with patient/parent. Ensure that patient/parent verbalizes understanding.
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